MISSION VALLEY EYE CENTER, INC.
NPI: 1063764173
· RONAN, MT 59864
· Optometrist
· NPI assigned 10/12/2012
$1.08M
Total Medicaid Paid
Provider Details
| Authorized Official | SIMONICH, MARCUS (OWNER/DOCTOR) |
| NPI Enumeration Date | 10/12/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,942 |
$181K |
| 2019 |
3,969 |
$194K |
| 2020 |
2,093 |
$94K |
| 2021 |
3,330 |
$151K |
| 2022 |
3,305 |
$156K |
| 2023 |
3,204 |
$155K |
| 2024 |
3,000 |
$149K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,892 |
5,548 |
$524K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,489 |
2,390 |
$279K |
| 92015 |
Determination of refractive state |
9,296 |
8,784 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,797 |
4,613 |
$131K |
| 92250 |
|
274 |
263 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
80 |
$5K |